| NPI | 1093518557 |
|---|---|
| Former Legal Business Name | ELDERBERRY CARE LLC |
| Entity Type | Organization |
| Authorized Contact | JASMINE FITZGERALD Ed 346-771-5131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 177F00000X Lodging |
| Enumeration Date | 2025-03-31 |
| Last Update Date | 2025-03-31 |